Feature Series the Retina

JULY 2014 CATARACT & REFRACTIVE SURGERY TODAY 55 M any techniques have been described for correcting aphakia with inadequate capsular support. The most common IOLs that are used include anterior chamber, posterior chamber, iris-fixated, and scleral-sutured IOLs; however, there is no current agreement on the ideal technique or technology. The Artisan aphakia lens (Ophtec; marketed as the Verisyse in the United States [Abbott Medical Optics]) was the first iris-fixated IOL. The Artisan IOL was introduced in the 1980s by Worst and colleagues and was designed for anterior chamber placement. Anterior chamber IOL implantation is considered a simple, effective, and safe technique with predictable visual results (Figure).1-3 Scleral-sutured lenses have some inconveniences, such as difficult technique and prolonged operating time.2 Several complications have been reported, such as lens decentering, retinal detachment, suprachoroidal hemorrhage, suture erosion, and rupture of the sutures with posterior dislocation.4-6 In this article, we describe a technique for the implantation of Artisan aphakic IOLs placed retropupillary, illustrating the safety and efficacy of this method of placement.